Effects of this medicine

Before using this medicine, tell your doctor/pharmacist

• If you ever experienced any allergic reaction (itch, rash etc.) to any medicine.
  If you are a patient with intestinal obstruction, narrowing of colon lumen, constipation, diverticulum of large intestine, hemorrhoid, serious gastrointestinal motor disorder, bleeding tendency, or dysphagia.
  If you ever underwent abdominal surgery.
  If you have/had gastrointestinal ulcer.

• If you are pregnant or breastfeeding.

• If you are using any other prescription or nonprescription (OTC) medicine. (It is important to reduce the risk of drug interactions.)

Dosage regimen (proper use of this medicine)

• Your dosage regimen is:(order of your doctor)

• General dosage regimen: For adults, take 4-8 tablets (1-2g of the active ingredient) at a time, 3 times a day, just before each meal. It should be adjusted according to your age, symptoms, and serum phosphorus level. The maximum dosage is 36 tablets (9g of the active ingredient) a day. Strictly follow the instructions of your doctor/pharmacist.

• If you keep this medicine in the mouth for a while, it will be swollen with water. Swallow it promptly with water or lukewarm water without chewing. Also, do not take the grinded or pounded tablet.

• Missed dose: If you realize that you missed a dose while eating or just after meal, take it as son as possible. In other cases, skip the missed dose and continue your regular dosing schedule. DO NOT take a double dose to make up for the missed dose.

• Overdose: If you took too much of this medicine (more than ordered), check with your doctor/pharmacist.

• Others: Do not stop taking this medicine without the instructions of your doctor.

Precautions while using this medicine

• This medicine may cause intestinal tract perforation or intestinal obstruction. Check the condition in defecation (whether you defecate or not, stool's condition/color, etc.). If you have such symptoms as aggravated constipation, enlarged feeling of abdomen, continuous abdominal pain, and vomiting, contact your doctor/pharmacist immediately.
• Although you start this medication, keep limiting intake of phosphorus by diet and so on according to the instructions of your doctor.
• While taking this medicine, you are supposed to have blood test to check your serum phosphorus level periodically.

Side effects of this medicine

• bad abdominal pain, nausea, vomiting [intestinal tract perforation ]
• vomiting, feeling sick at the stomach, failure of passing stool/gas, bad lower abdominal pain (colic)[intestinal obstruction]
• lower abdominal pain, fever[diverticulitis]
• bloody stool, nausea, vomiting, feeling sick at the stomach, fever, diarrhea, sudden abdominal pain[ischemic enteritis]
• bloody stool, black stool, nausea, vomiting, vomiting of blood, abdominal pain[gastrointestinal bleeding]
• nausea, vomiting, heartburn, vomiting of blood, abdominal pain, bad abdominal pain, stomachache, pain in the pit of the stomach, lower abdominal pain, pain in abdominal area when pressed, black stool, bloody stool[gastrointestinal ulcer]
• lassitude, loss of appetite, nausea, vomiting, itch, yellowness in the skin and/or the white of the eye, yellow urine[hepatic function disorder]
• constipation, difficulty in bowel movement[constipation, aggravated constipation]
• abdominal pain [abdominal pain]
• enlarged feeling of abdomen [abdominal expansion]

Storage and other information

• Keep out of the reach of children. Store at room temperature (1-30℃), away from direct sunlight and moisture.
• Discard the remainder. Do not store them. Ask the pharmacist how to discard.